Figure 1

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Update from previous post. Pictures taken during fitting and placement of prosthetic. Upon evaluation, patient is fully functional in all daily activities. Patient can string beads and tie her own shoes with her residual limb. Prosthetic was brought down to Nicaragua for 6-year-old female with congenital residual limb. It was determined that patient is fully independent; she did not have the wrist strength or active flexion to produce prosthetic metacarpophalangeal or interphalangeal movement. Prosthetic was brought back to the US for further research.